Clinical Reviewer - Board Certified Physician Reviewer – All Specialties

Nexmc; United States; Remote; USD 65,000 - 75,000; Part time

Job summary

Nexmc is hiring a Clinical Reviewer who will work remotely as an independent contractor to evaluate patient care recommendations based on established medical standards. Candidates should be board certified in their specialty and have at least five years of post-medical school experience, maintaining an active clinical practice.

Qualifications

• Minimum of 5 years of experience post-medical school.
• Active and unrestricted state license required.
• Must maintain active clinical or surgical practice.

Responsibilities

• Provide objective recommendations on patient care based on standards of care.
• Conduct reviews using a technology-driven clinical review platform.
• Optimize reviewing resources while reducing administrative burdens.

Skills

Clinical expertise

Objective recommendations

Telework capability

Education

Board Certified in specialty

Job description

Clinical Reviewer - Board Certified Physician Reviewer – All Specialties

Clinical Reviewer - Board Certified Physician Reviewer – All Specialties

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Clinical Reviewer - Board Certified Physician Reviewer – All Specialties

License Location:

• United States

About Nexus:

Nexus is one of the leading national independent clinical review and utilization management organizations. Our focus is on building long term, value-added relationships with our clients by providing access to quality, outcome-focused clinical expertise, and innovative solutions. We have established highly efficient administrative workflows and processes that allow our physician reviewers the ability to optimize their reviewing resources and focus on the core clinical decision-making process. It is possible to balance quality of care with cost-containment, while creating better outcomes for patients. Our vision enables best-in-class clinical reviews, with highly accurate, defensible determinations delivered quickly.

Job Summary:

While working remotely as an independent contractor you will apply your clinical expertise to provide objective recommendations on patient care based on standards of care. There is no patient contact and all work is conducting electronically.

As one of the largest clinical review panels in the nation, you will be connected with an extensive client portfolio of top carriers and third party administrators providing you with a steady stream of reviews. We enable our physicians to perform reviews quickly and accurately using our innovative technology-driven independent clinical review platform . Every aspect of our platform has been honed for efficiency.

Our effective review process was designed to optimize the reviewer’s expertise and reduce the administrative burden from the decision process. This telework opportunity provides you with the ability to supplement your practice income by reviewing in between your practice schedule, nights, and/or weekends.

• Board Certified in your area of specialty
• Maintain active clinical or surgical practice
• Minimum of 5 years of experience post-medical school
• Active and unrestricted state license
• Specialty: Board Certified Physician Reviewer – All Specialties

Seniority Level:

Not Applicable

Job Function:

Consulting

Employment Time:

Part-Time (Remote)

Insurance and Hospitals and Health Care

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Part-time

Job function

• Job function

  Research, Analyst, and Information Technology

• Industries

  Insurance

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